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논문 기본 정보

자료유형
학술저널
저자정보
Syed Muhammad Hammad Ali (Department of Surgery, Fatima Memorial Hospital College of Medicine & Dentistry, Lahore, Pakistan) Ossama Ather (Department of Surgery Fatima Memorial Hospital College of Medicine & Dentistry Lahore Pakistan) Aasim Malik (Department of Surgery Fatima Memorial Hospital College of Medicine & Dentistry Lahore Pakistan)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.38 No.1
발행연도
2022.3
수록면
6 - 6 (1page)
DOI
10.5758/vsi.210072

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A 47-year-old male with Leriche syndrome presented with digital gangrene due to TASC II type-D occlusion of the distal aorta and common iliac arteries. Open revascularization was performed using a Dacron aorto-biiliac bypass graft; however, the postoperative course revealed a nondisclosed history of intravenous opioid abuse as he went into withdrawal psychosis. Our report highlights ways to mitigate infection risk associated with prosthetic aortic grafts in suspected or confirmed intravenous drug abusers. The literature review suggests alternative strategies like aortoiliac endarterectomy, total endovascular approach using non-covered stents, or a hybrid approach. The primary use of autologous venous grafts should be considered as a last resort so that the veins are retained for future use in case of graft infection. Patient factors like comorbidities, fitness to undergo surgery, anatomical extent of occlusion, and availability of facilities/expertise can further guide the management plan owing to a lack of evidence-based guidelines.

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